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OPTIMAL WELLNESS LLC
NPI 1063916195
Family Medicine in Shreveport, LA

Active since March 22, 2018
745 OLIVE STREET, SUITE 109, SHREVEPORT, LA 71104(318) 716-1200(318) 562-3330 Get Directions Write a Review

NPPES record last updated: March 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Optimal Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPTIMAL WELLNESS LLC (NPI 1063916195) is a healthcare organization registered as a family medicine in Shreveport, Louisiana and active in the NPI registry since March 2018. The organization maintains a secondary practice location in Shreveport and lists Sreedevi Yerrapragada, Officer/manager, as its authorized official.

NPPES Registry Identity

NPI1063916195
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOPTIMAL WELLNESS LLC
Location Address745 OLIVE STREET, SUITE 109Shreveport, LA 71104
Mailing Address745 Olive Street, Suite 109Shreveport, LA 71104 · (318) 716-1200 · Fax (318) 562-3330
Phone(318) 716-1200
Fax(318) 562-3330
Organization SubpartNo
Authorized OfficialSreedevi YerrapragadaOfficer/manager · (318) 716-1200
Enumeration DateMarch 22, 2018
✔ NPI 1063916195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
745 OLIVE STREET, Shreveport, LA 71104
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Secondary Practice Location 1

Location 1745 Olive Street, Suite 109Shreveport, LA 71104 · Phone (318) 716-1200 · Fax (318) 562-3330

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MEREDITH LYNN STEWART ACA
Acupuncturist
745 OLIVE STREET, SUITE 212
SHREVEPORT, LA 71104
Caddo Parish (318) 459-9125
THOMAS EDWARD MCNEELY DDS MD
Dentist (Periodontics)
745 OLIVE STREET, SUITE 204
SHREVEPORT, LA 71104
Caddo Parish (318) 226-9306

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Optimal Wellness LLC's NPI number?

The NPI number for Optimal Wellness LLC is 1063916195. It was assigned to this organization in the NPPES registry on March 22, 2018.

Where is Optimal Wellness LLC located?

Optimal Wellness LLC is located at 745 Olive Street Suite 109, Shreveport, LA 71104. The listed phone number is (318) 716-1200.

What is Optimal Wellness LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Optimal Wellness LLC was last updated on March 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.